Bennion R S, Hiatt J R, Williams R A, Wilson S E
Surg Gynecol Obstet. 1983 Jun;156(6):724-8.
The most common site for infection in reconstructive peripheral vascular operations is the inguinal area. Treatment is controversial, with recommendations ranging from antiseptic irrigation techniques to total graft excision. We present a plan for the surgical management of unilateral groin infection after aortofemoral bypass that was used in five patients. After assuring the viability of the extremity independent of the prosthesis, by compression of the graft limb with a concurrent Doppler ankle to wrist ratio index exceeding 0.3, vascular repair was performed as a two-stage procedure combining clean retroperitoneal detachment of the infected graft limb and inguinal excision of the involved graft limb followed by delayed vascular reconstruction by extra-anatomic cross femoral bypass. This has shown to be a reliable surgical method for salvaging the aortofemoral bypass with unilateral groin infection.
重建性外周血管手术中最常见的感染部位是腹股沟区。治疗方法存在争议，建议范围从抗菌冲洗技术到完全切除移植物。我们提出了一项针对5例患者在主动脉股动脉搭桥术后单侧腹股沟感染的手术管理计划。在用多普勒踝臂指数同时超过0.3压迫移植肢体以确保肢体独立于假体存活后，血管修复作为两阶段手术进行，包括对感染的移植肢体进行清洁的腹膜后分离和对受累移植肢体进行腹股沟切除，随后通过解剖外交叉股动脉搭桥进行延迟血管重建。这已被证明是挽救伴有单侧腹股沟感染的主动脉股动脉搭桥术的可靠手术方法。
